All drugs, depending on pharmacological activity, were allocated in three groups: poisonous, potent and non-agitative. Such a separation is important to prevent the danger of overdose in the process of preparation of drugs and their use. In general, the concept of toxicity medicines relatively. Many unsalted drugs during overdose may be poisonous.

Poisonous drugs (Venena.) - These are funds, appointment, application, dosing and storage of which due to high toxicity should be made with extreme caution. These include drugs causing drug addiction - narcotic drugs,which are approved by special authorities.

Pilot drugs (Heroica.) - These are funds, appointment, application, dosing and storage of which should be made by precaution.

The difference between poisonous and potent means mostly only quantitative: poisonous substances usually apply in doses of the order of thousandth and ten-thousand shares of grams, and potent - in the hundredths and tenths of grams.

The drug belonging to the list of potent or poisonous substances is determined by the State Pharmacological Center for Medicines. The content of these lists varies depending on the change in the nomenclature of drugs. For example, in the GF X in the "introductory part" lists of the poisonous (list A) and the potent (List b) substances are placed. The list B includes 326 drug items, to the list A - 116. By order of the Ministry of Health of Ukraine No. 233 of July 25, 1997, six listings of drugs registered in Ukraine, including lists of potent, toxic, narcotic and psychotropic drugs, were approved Parats 1.

1 The textbook provides the designation of potent and poisonous substancesAccepted by GF X: List B and List A.

Rules for the storage of poisonous and potent substances.

Poisonous drugs must be stored isolated, in specially allocated metal cabinets for this purpose under the lock. On the inside of the door of the safe and the cabinet should be inscription Venena. with the list of stored substances, their one-time and daily doses.

Particularly poisonous drugs - arsenic anhydride, sodium arsenate crystalline, strikhnina nitrate, mercury dichloride (SUMMA), mercury cyanide and oxycianide - should be stored only in the internal, locked on the castle, the safe department.

In the cabinet for poisonous substances should be manual scales, variations, weights, mortars, cylinders, funnels that are needed for the preparation of drugs. On such a dishes make marking: "For atropine", "for sublifting", etc. They wash and processed these items separately from the rest of the dishes under the supervision of the pharmacist.

Powerful drugs, as well as lipis pencils, should be stored in separate cabinets. On the inside of the door should be inscription « Heroica.» and a list of potent substances indicating the highest one-time and daily doses.

Inscriptions on rods, in which poisonous medicinal substances are stored, should be white on a black background, and on rods containing potent drugs - red on a white background, in both cases the highest and daily doses must be indicated on the sac . On rods with conventional inscription medicines make black color on a white background.

During the working hours, the key to the cabinet "for poisonous substances", located in the assistant room, should be at the provisor-technologist. Safes and cabinets after the end of the working day are sealing or segged, and the keys to them, printing or seal must be from the pharmacy manager or in persons who are authorized by order at a pharmacy. Cabinets "For potent substances" after the end of the working day should be shoved. Materials in which narcotic and especially poisonous drugs are stored must have light and sound alarms. The windows must be lattice. After the end of the work, these rooms are locked and sealed.

Rules for writing poisonous and potent substances.To write out narcotic drugs in pure form or in a mixture with indifferent substances (on the list, approved by the Ministry of Health of Ukraine), the F-3 form is provided. Poisonous and potent substances, including ethyl alcohol, are written out on the F-1 prescription form.

Narcotic and infant drugs in pure form or with indifferent substances are allowed to write out only doctors who work in public health facilities.

The names of the poisonous (the list of which is approved by the Ministry of Health of Ukraine) and the narcotic drugs are written at the beginning of the recipe, then - all other medicines.

Recipe for Form No. 3 is additionally signed by the head of the health institution or its deputy for medical part and is assigned to the seal of health institutions (coat of arms). Recipes for dosage forms containing poisonous substances, and ethyl alcohol must be fastened with the seal of a medical institution "for recipes" and personal seal of a doctor.

Prescribing poisonous or potent drugs in doses exceeding the highest one-time doseThe doctor is obliged to write a dose of this means in words and put an exclamation mark.

Rules of vacation drugs containing poisonous drugs.Taking a prescription for a drug containing a poisonous substance, the pharmacist must show special care and accuracy: it is necessary to specify the age of the patient, check the correctness of the dosing, compatibility of the ingredients registered and emphasize the red pencil the name of the poisonous means. In the preparation of drugs, a toxic substance is having a provisional technologist in the presence of a pharmacist. The poisonous drug obtained by the pharmacist is immediately used to prepare a drug. It is forbidden to let you go to the recipe, narcotic and potent drugs not in the composition of the prepared dosage form.

In the case of prescribing a poisonous, narcotic or potent drug in a dose that exceeds the highest one-time dose without appropriate recipe design, the pharmaceutical worker must release the discharged drug in the amount of 50% of the dose installed as the highest one.

Narcotic drugs that are discharged on special recipes F-3 are released only from a pharmacy attached to these purposes to territorial treatment and preventive institutions.

Ethylmorphine hydrochloride, codeine, codeine phosphate, sodium etame, Barbamil in a mixture with other drugs are released by pharmacies within the city or rural administrative district on the recipes of therapeutic and preventive institutions that are posted on their territory.

On vacation of exempturally prepared medicines containing poisonous, narcotic substances and ethyl alcohol, a signature is issued for a patient instead of the recipe (Fig. 5).

Recipes for released drugs are stored in pharmacies, without considering this year, throughout:

In five years - on narcotic drugs issued on special recipe forms F-3;

Surname, initials of the doctor

Coke

Checked

Let go

Date price

For repeated medication, a new doctor's recipe is required

Fig. five.Sample signature

In three years - for medicines released for free or on preferential terms;

In one year - on drugs to be subject to subject and quantitative accounting (with the exception of narcotic), anabolic steroids;

One month is on the rest of the drugs.

At the end of the storage period, all recipes are to be destroyed in the prescribed manner.

Cooked medicines containing poisonous means are sealed by a person who checked the medicine (or shackled "under running").

Vials in which mercury solutions dichloride (sunels), cyanide and oxycianide are vacuized, are made to the "poison" labels with the image of crossed bones and skulls, "Careful Care", and the name of a poisonous drug in Russian (or local) and the concentration of the solution.

The solution of mercury of dichloride (sulea), designed for disinfection, is stained with eosin or fuchsin; On the signature or label should be indicated than the solution is tinted.

On the packaging of other drugs prepared in the pharmacy containing poisonous means, as well as phenol in pure form, or on solutions with a concentration above 5%, strong acids, perhydrails and other similar means, a label "handle with caution" should be placed.

All prepared drugs containing poisonous substances are stored before vacation in a separate locking cabinet.

The rules for the storage of poisonous, drug and potent drugs on pharmacy warehouses, in medical and preventive institutions, monitoring and analytical laboratories and other healthcare agencies are governed by special instructions approved by the orders of the Ministry of Health.

Drugs Group A are divided into subgroups. Of the total drugs related to the State Pharmacopoeia to the list A, a certain part of the drugs are subject to subject-quantitative accounting in pharmacies. Salvaria preparations are subject to special serial accounting.

All narcotic, as well as especially poisonous means: arsenic anhydride, sodium arsenate crystalline, strikhnina nitrate, mercury dichloride (SUMMA) and mercury oxycyanide - should be kept in pharmacies only in safes, and especially poisonous means - in the internal, locked on the castle of the safe department.

In pharmacies V and VI categories to store narcotic and especially poisonous drugs are allowed only in the material room in safes or metal boxes, screwed to the floor. Store these drugs in assistant rooms is not permitted. In large pharmacies (I-IV categories) in assistant rooms, it is necessary to store a margin of narcotic and poisonous drugs in quantities that do not exceed 5-day need, and storage should also be carried out in special safes.

The total reserves of poisonous and narcotic drugs in urban pharmacies should not exceed a monthly need. In the remaining pharmacies, the stock of these drugs is determined by regional or edge pharmac copes.

In duty pharmacies, poisonous and narcotic drugs in quantities and assortments necessary to provide urgent medical care. After duty, this closet is sealing.

All poisonous drugs included in the list A, but not related to narcotic and especially poisonous means are stored in isolated, in specially allocated metal cabinets, under the lock. In small pharmacies, all drugs A (including narcotic and especially poisonous) can be stored in one safe.

Cabinets and safes, in which poisonous and narcotic drugs are drawn up as follows:

1) On the inside of the door of the safe and the cabinet, "A - Venena" (poison) is made on the inscription;

2) Below this inscription, on the same side of the door, the list of poisonous and narcotic drugs stored in a safe or closet, indicating the highest one-time and daily doses, is placed;

3) inscriptions on rods, in which poisonous and narcotic drugs are stored, make on latin White font on a black background (black label). Each rod is indicated by the highest one-time and daily dose.

For the manufacture of drugs with poisonous components in safes and cabinets, where they are stored, there must be manual bells, diverse, mortar, cylinders and funnels. On the dishes used for the manufacture of drugs, it is desirable to have labeling: "For Sumull", "for silver nitrate", etc. Washing this dishes is carried out separately from the other under the supervision of the pharmacist.

The key from the cabinet with the means of the list A, which is in the assistant, during working hours should have a pharmacy technologist at the pharmacy technologist. After the end of the working day, the cabinet is sealing and the key together with the seal or seal is transferred to the head of the pharmacy or another responsible pharmacy worker, authorized by the order at the pharmacy.

Materials, as well as safes, in which narcotic and especially poisonous drugs are stored, must have light and sound alarms. The windows of material rooms in which poisonous and narcotic drugs are stored, should be equipped with metal gratings. At night, these rooms lock and sealed. Issue narcotic and especially poisonous tools from material to the assistant for current work can only head of a pharmacy or an authorized person.

Storage of poisonous and narcotic drugs on pharmacy warehouses, in control and analytical laboratories, in pharmaceutical enterprises, in research and educational institutions is also carried out in safes or metal cabinets under the lock, in rooms, the windows of which should have iron lattices.

In cases where it is provided for by the instructions, the doors of the premises in which poisonous and narcotic drugs are stored, they are stored with iron, and the room itself is equipped with light and sound alarm. Rooms where narcotic and poisonous means are stored, after the end of the work, you should lock and seal or seal. Keys, seals or printing should be responsible for the storage of poisonous and drugs. In rooms, cabinets, safes where poisonous drugs are stored, it is necessary to have scales, ramps, funnels, cylinders, mortar and other dishes for work.

In all cases, employees responsible for storing and vacation of poisonous and narcotic drugs should be strictly guided by the relevant instructions and regulations approved by the Ministry of Health.

The subject and quantitative accounting of poisonous and narcotic drugs is carried out in a special book, numbered, laid and fastened by the head of the head of a higher organization with a round-seal application.

In this book, one page is given to each name of the received drug, which monthly reflect residues and receipts. this drug, as well as the daily consumption of it.

The consumption of the drug indicates every day separately: vacation over outpatient recipes and vacation to therapeutic institutions, pharmacy departments and pharmaceutical points I group. This is done in order to at the end of the month, when checking the actual presence of poisonous and potent substances and reconcile them with the book residue, it was possible to apply established norms of natural loss. These norms are used separately: for outpatient leave of poisonous and potent substances and for vacation to therapeutic and other organizations.

Storage and accounting of salvar drugs. The group of drugs of the list A also includes salvar drugs - Mairsenol and Novasenol. They are under the special control of the State Control Commission on the Test of Such drugs under the Ministry of Health. This commission regulates the production of salvar drugs, sets the expiration date, the order of their storage and accounting. Preparations are available in sealed ampoules in a special package, on which the number, number number and the manufacture time are indicated. In addition, each package supplier indicates that the series has passed a chemical, biological and clinical trial, and the date of verification.

To account for the movement of salvarsan drugs in pharmacy institutions is a special magazine. It contains information about the receipt and issuance of drugs in therapeutic institutions. In the receipt part, the date of receipt of the drug in the pharmacy, number of the series, dosage and the institution, from where they came from. When issuing a drug in the magazine indicate the name and address of the medical institution, the date of issue, the number of the series, the number and dosage.

Storage of potent medicines. A rather large group of drugs relates to a potent or, as they are called, to the drugs of the list B. The specified drugs should be stored in separate cabinets on the doors of which there are inscription "BHERICA" (potent) and a list of included in the list b

Preparations indicating the highest one-time and daily doses.

Inscriptions on rods, in which potent drugs are stored, make in red font on a white background. On the rods also indicate the highest one and daily doses. After the end of the work, the cabinets would lock out. In working hours, they are open, they can use the pharmacy workers engaged in the manufacture of drugs.

Preparations that are not related to lists A and B are stored in conventional cabinets or on assistant turntables. Inscriptions on rods with these drugs make black font on a white background.

In all the cabinets where drugs are stored (a list b or ordinary list), you should follow a certain system for adjusting strangers:

1) liquid drugs are stored separately from bulk;

2) Do not put the drugs next to the names in order not to confuse them in the manufacture of medication. Therefore, it is impossible to place drugs on the shelves of cabinets in alphabetical order;

3) Drugs for internal use related to the list B should be placed in the cabinets so that drugs with close top doses are placed on the shelves (for example, on one shelf, preparations with doses of 0.1 g are stored, on the other from 0.1 up to 0.5 git. d.), and have them on the shelves of cabinets, taking into account the pharmacological group.

As the experience of many pharmacies showed, a single numeration of medicines brings significant benefits. For example, if the rods and material banks with Norsulfazol have no number 363, then under this number they are decorated in the assistant and material room. Thus, the pharmacy workers clearly know that any stand with this number contains Nurulfazole.

To categoriarity: Pests and diseases of plants

Basic storage rules of poisons and precautions when working with them

1. The poisons are stored in the premises specifically reserved for them; The key from the warehouse is responsible; Foreign persons enter the poorer is prohibited.

2. The room must be dry with a good roof.

3. The poisons are placed on the shelves; The container should be labels with the name of poison, party rooms, net weight and gross, as well as safety inscriptions.

4. The poisons entering the warehouse come to a special book and are issued under receipt of persons who are entrusted with the conduct of chemical events.

5. Poons are issued only at the direction of the head of the institution or the officially replacing person.

6. In warehouses of poisons, it is forbidden to store products and foreign objects.

7. In stock should be: a handicraft, towel, soap, protective clothing, scales and weights, as well as a first-aid kit with antids, equipped with a special instruction.

8. Persons working with poisons must be familiar with the properties of poisons, appealing with them and precautionary measures when working.

9. In the warehouse is postponed in the prominent place instruction with the rules of handling poisons.

10. Working with poisons must be equipped with bathrobes, mittens, glasses, respirators, and when working with gaseous substances - gas masks.

11. While working with poisons you can not eat and smoke. At the end of the work, be sure to wash your hands and face.

12. Teens, pregnant and breastfeeding women are not allowed to work with poisons.

13. After the work is completed, all the remnants of the poison must be buried to the land in order to avoid poisoning, and the container is thoroughly washed and surrendered to the warehouse; Clothing workers thoroughly shake out, respirators and glasses are cleaned of dust or wash.

14. When processing flower plants in the parks of culture and recreation, squares and other settlements, events must be met, preventing the possibility of poisoning of people and animals.

15. Plant treatment in settlements is held early in the morning or at night. Processed objects must be closed to visitors and are protected by persons during and after processing, depending on the used poison. Warning inscriptions should be made on the processed areas.

Attention! When using articles, consultations and comments, we ask you to pay attention to the date of writing

Question:
Tell me, please, whether the order is valid from 07/03/1968 N 523 (ed. From 04.02.1977, with ame. From 30.12.1982) "On the order of storage, accounting, prescribing, vacation and the use of poisonous, drug and potent drugs", In terms of storage of poisonous and potent substances, as today it is not canceled?

Indeed, "Rules for the storage and accounting of poisonous, drug and potent drugs" in medical and preventive institutions, sensitive pharmacies and pharmacy warehouses "(Applications No. 4 - 6), approved by the Order of the USSR Ministry of Health from 3.07.68 No. 523" On order of storage, accounting, prescribing, vacation and application of poisonous, narcotic and potent drugs »(as amended from 04.02.77), no one is canceled and therefore, as a general rule, can be considered applicable in part, not contrary to the legislation of Russia .
However, it should be noted that the rules for the storage and accounting of narcotic substances are established by the decisions of the Government of the Russian Federation of December 31, 2009. N 1148 "On the procedure for storing drugs and psychotropic substances" (as amended by 06/09/2010) and from November 4, 2006 . N 644 "On the procedure for submitting information about activities related to the turnover of narcotic drugs and psychotropic substances, and registration of operations related to drug trafficking and psychotropic substances" (as amended by 06/09/2010).
The procedure for storing potent and poisonous drugs is determined by clauses 66 - 69 approved by the Order of the Ministry of Health and Social Development of the Russian Federation of August 23, 2010 N 706n "Drug Storage Rules" (as amended on December 28, 2010) and paragraphs 3.11 - 3.13, 3.19 approved by order Ministry of Health of the Russian Federation of 04.03.2003 N 80 of the sectoral standard "Rules of vacation (implementation) of medicines in pharmacy organizations. The main provisions "OST 91500.05.0007-2003 (as amended from 18.04.2007).
Thus, the current Russian legislation fully regulates the procedure for storing narcotic, potent and poisonous drugs and has not established only the procedure for taking into account poisonous and potent drugs. Consequently, the order of the USSR Ministry of Health No. 523 can be considered valid only in terms of the requirements for consideration of potent and toxic substances. However, it should be noted that such an order of the specified order is determined exclusively for sensitive pharmacies and pharmacy points of the 1st group and pharmacy warehouses, i.e. For organizations that are currently not identified by law. Thus, for existing currently pharmacy organizations And the wholesale trade of drugs, purely formally, the norms of the order of the Ministry of Health of the USSR No. 523 in force cannot be considered.

On the order of storage, accounting, prescribing, vacation and application of poisonous, narcotic and potent drugs

REGULATIONS
Storage and accounting of poisonous, narcotic and
Potent funds in control and analytical
Laboratories of pharmacy controls

1. Poisonous drugs of the list "A", as well as poisonous substances used as reagents in pure form, should be stored in separate metal or wooden cabinets under the lock, and overnight or segged to seal.
Reagent solutions containing poisonous substances, after the end of operation, should be stored in separate locking cabinets, with the exception of titled solutions that can be stored in the usual manner.
Ready-made dosage forms containing poisonous drugs entering the laboratory for analysis are subject to storage separately from other drugs in lockable cabinets.
2. Narcotic drugs, regardless of the dosage form, should be kept in safes, and especially poisonous means: arsenic anhydride, sodium arsenate crystalline, mercury dichloride (sulema), strikhnina nitrate, brucicine, nicotine, phosphorus, silic acid and its salt, chlorpicrin and Seroublerod should be kept in a specially allocated internal package of safe.
3. The responsible for the storage of poisonous and narcotic drugs is the head of the laboratory or a person authorized by him by order by the laboratory.
4. Keys of the safe (cabinets), where poisonous and narcotic drugs are stored, must be from the head of the laboratory or the person authorized to this.
5. Poisonous and narcotic drugs or medicines containing them, issued by chemist - analytics for analysis, are stored isolated under the castle at the chemist - analytics.
6. Poisonous and narcotic drugs entering the analysis of the pharmacy warehouse, at the end of the analysis are stored for three months, after which the remnants of them are transmitted to the duty station of the pharmaceutical warehouse or are used with the permission of pharmacopulation for the needs of the laboratory and are written off into the expenditure with the design of the appropriate acts; Rejected poisonous drugs after the storage expires are destroyed according to the current rules.
The remains of dosage forms containing poisonous and narcotic drugs are stored:
a) received from urban pharmacies - within 10 days;
b) received from rural pharmacies - within 20 days, after which they are destroyed with the participation of a representative of a higher organization, which is issued by the act on the laboratory.
7. Poisonous substances used as reagents should have on each packaging of the label: the name of the drug "poison", with the image of crossed bones and skulls, and also "handle with caution".
8. All poisonous substances used as reagents during analyzes, as well as poisonous drugs in pure form and narcotic, regardless of the dosage form entering the laboratory for analysis, are subject to compositely - quantitative accounting in separate numbered and past books bonded by printing and signature Head of a higher education organization:

I. Form of the book of accounting for poisonous drugs,
incoming for analysis

Name of funds _____________________________________
______________________________________________________________

+————————+—————————————————+
| Parish | Consumption |
| Date | N | from | N | Ko- | Number | Number | Date you- | Result | residue | Mark About |
| Pos- | PP, | Who | Se- | Lee- | and the date | East - | Fit | TAT | from | Transfer |
| Stupid | i.e. | Semi-| Rii | Che- | Issue | Dovanno- | Analysis | Analysis | Analysis | To Warehouse, |
| le- | n | Chenicle | (or | Art | Analysis - Country | and | | | Using |
| Niya | Ana- | and N | Pro- | In | Tika on | Bottles | Critter | | | Vanya or |
| | Lisa | Dock - | would) | | Analysis | Analysis | Analytics- | | | destroy - |
| | | TA | | | and races | | Ka | | | Research Institute Ost- |
| | | | | | Pisk | | | | | FAY from |
| | | | | | Analysis - | | | | | Analysis |
| | | | | | Tika | | | | | |
+—-+—-+——+—-+—+——-+———+———+——-+——-+———+
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 |
+—-+—-+——+—-+—+——-+———+———+——-+——-+———+

Note: Count 11 indicates the number and date of the document, which is decorated the flow rate of the poisonous means.
II. Form of booking of poisonous substances,
used as a reagent

Name of substance ________________________________________

9. Documents for poisonous and narcotic drugs should be kept by the person responsible for their storage for three years.
10. Powerful drugs, as well as dosage forms, containing them, can be stored together with other non-aging drugs.
11. Reagents related to the list "b" necessary for current work can be stored as usual, and their reserves must be stored in the closet under the lock.

Storage of poisonous and potent medicines

The rules for the storage of poisonous, drug and potent drugs on pharmacy warehouses, in medical and preventive institutions, monitoring and analytical laboratories and other healthcare agencies are governed by special instructions approved by the orders of the Ministry of Health.

Drugs Group A are divided into subgroups. Of the total drugs related to the State Pharmacopoeia to the list A, a certain part of the drugs are subject to subject-quantitative accounting in pharmacies. Salvaria preparations are subject to special serial accounting.

All narcotic, as well as especially poisonous means: arsenic anhydride, sodium arsenate crystalline, strikhnina nitrate, mercury dichloride (SUMMA) and mercury oxycyanide - should be kept in pharmacies only in safes, and especially poisonous means - in the internal, locked on the castle of the safe department.

In pharmacies V and VI categories to store narcotic and especially poisonous drugs are allowed only in the material room in safes or metal boxes, screwed to the floor. Store these drugs in assistant rooms is not permitted. In large pharmacies (I-IV categories) in assistant rooms, it is necessary to store a margin of narcotic and poisonous drugs in quantities that do not exceed 5-day need, and storage should also be carried out in special safes.

The total reserves of poisonous and narcotic drugs in urban pharmacies should not exceed a monthly need. In the remaining pharmacies, the stock of these drugs is determined by regional or edge pharmac copes.

In duty pharmacies, poisonous and narcotic drugs in quantities and assortment necessary to provide urgent medical care are left for the night in a separate locked cabinet. After duty, this closet is sealing.

All poisonous drugs included in the list A, but not related to narcotic and especially poisonous means are stored in isolated, in specially allocated metal cabinets, under the lock. In small pharmacies, all drugs A (including narcotic and especially poisonous) can be stored in one safe.

Cabinets and safes, in which poisonous and narcotic drugs are drawn up as follows:

1) On the inside of the door of the safe and the cabinet, "A - Venena" (poison) is made on the inscription;

2) Below this inscription, on the same side of the door, the list of poisonous and narcotic drugs stored in a safe or closet, indicating the highest one-time and daily doses, is placed;

3) Inscriptions on rods that store poisonous and narcotic drugs, make in Latin white fonts on a black background (black label). Each rod is indicated by the highest one-time and daily dose.

For the manufacture of drugs with poisonous components in safes and cabinets, where they are stored, there must be manual bells, diverse, mortar, cylinders and funnels. On the dishes used for the manufacture of drugs, it is desirable to have labeling: "For Sumull", "for silver nitrate", etc. Washing this dishes is carried out separately from the other under the supervision of the pharmacist.

The key from the cabinet with the means of the list A, which is in the assistant, during working hours should have a pharmacy technologist at the pharmacy technologist. After the end of the working day, the cabinet is sealing and the key together with the seal or seal is transferred to the head of the pharmacy or another responsible pharmacy worker, authorized by the order at the pharmacy.

Materials, as well as safes, in which narcotic and especially poisonous drugs are stored, must have light and sound alarms. The windows of material rooms in which poisonous and narcotic drugs are stored, should be equipped with metal gratings. At night, these rooms lock and sealed. Issue narcotic and especially poisonous tools from material to the assistant for current work can only head of a pharmacy or an authorized person.

Storage of poisonous and narcotic drugs on pharmacy warehouses, in control and analytical laboratories, in pharmaceutical enterprises, in research and educational institutions is also carried out in safes or metal cabinets under the lock, in rooms, the windows of which should have iron lattices.

In cases where it is provided for by the instructions, the doors of the premises in which poisonous and narcotic drugs are stored, they are stored with iron, and the room itself is equipped with light and sound alarm. Rooms where narcotic and poisonous means are stored, after the end of the work, you should lock and seal or seal. Keys, seals or printing should be responsible for the storage of poisonous and drugs. In rooms, cabinets, safes where poisonous drugs are stored, it is necessary to have scales, ramps, funnels, cylinders, mortar and other dishes for work.

In all cases, employees responsible for storing and vacation of poisonous and narcotic drugs should be strictly guided by the relevant instructions and regulations approved by the Ministry of Health.

The subject and quantitative accounting of poisonous and narcotic drugs is carried out in a special book, numbered, laid and fastened by the head of the head of a higher organization with a round-seal application.

In the specified book, one page is given to each name of the recorded drug, which monthly reflect the remnants and receipts of this drug, as well as the daily consumption of it.

The consumption of the drug indicates every day separately: vacation over outpatient recipes and vacation to therapeutic institutions, pharmacy departments and pharmaceutical points I group. This is done in order to at the end of the month, when checking the actual presence of poisonous and potent substances and reconcile them with the book residue, it was possible to apply established norms of natural loss. These norms are used separately: for outpatient leave of poisonous and potent substances and for vacation to therapeutic and other organizations.

Storage and accounting of salvar drugs. The group of drugs of the list A also includes salvar drugs - Mairsenol and Novasenol. They are under the special control of the State Control Commission on the Test of Such drugs under the Ministry of Health. This commission regulates the production of salvar drugs, sets the expiration date, the order of their storage and accounting. Preparations are available in sealed ampoules in a special package, on which the number, number number and the manufacture time are indicated. In addition, each package supplier indicates that the series has passed a chemical, biological and clinical trial, and the date of verification.

To account for the movement of salvarsan drugs in pharmacy institutions is a special magazine. It contains information about the receipt and issuance of drugs in therapeutic institutions. In the receipt part, the date of receipt of the drug in the pharmacy, number of the series, dosage and the institution, from where they came from. When issuing a drug in the magazine indicate the name and address of the medical institution, the date of issue, the number of the series, the number and dosage.

Storage of potent medicines. A rather large group of drugs relates to a potent or, as they are called, to the drugs of the list B. The specified drugs should be stored in separate cabinets on the doors of which there are inscription "BHERICA" (potent) and a list of included in the list b

Preparations indicating the highest one-time and daily doses.

Inscriptions on rods, in which potent drugs are stored, make in red font on a white background. On the rods also indicate the highest one and daily doses. After the end of the work, the cabinets would lock out. In working hours, they are open, they can use the pharmacy workers engaged in the manufacture of drugs.

Preparations that are not related to lists A and B are stored in conventional cabinets or on assistant turntables. Inscriptions on rods with these drugs make black font on a white background.

In all the cabinets where drugs are stored (a list b or ordinary list), you should follow a certain system for adjusting strangers:

1) liquid drugs are stored separately from bulk;

2) Do not put the drugs next to the names in order not to confuse them in the manufacture of medication. Therefore, it is impossible to place drugs on the shelves of cabinets in alphabetical order;

3) Drugs for internal use related to the list B should be placed in the cabinets so that drugs with close top doses are placed on the shelves (for example, on one shelf, preparations with doses of 0.1 g are stored, on the other from 0.1 up to 0.5 git. d.), and have them on the shelves of cabinets, taking into account the pharmacological group.

As the experience of many pharmacies showed, a single numeration of medicines brings significant benefits. For example, if the rods and material banks with Norsulfazol have no number 363, then under this number they are decorated in the assistant and material room. Thus, the pharmacy workers clearly know that any stand with this number contains Nurulfazole.

Rules for storing poisonous medicinal substances (list a).

Poisonous medicinal substances (list a) are stored under the lock in iron cabinets, or in metal boxes (safe), on which the inscription must be present. Venena."(Poisonous).

And especially poisonous medicinal substances (morphine, atropine sulfate, etc.) is stored in the internal, locked in the castle of the departments of safes and cabinets.

In the same cabinet (safe) there are all necessary for weighing, measuring and mixing these substances (scales, multiple, funnels, cylinders, measuring fingers, etc.). Registration of rods: black background, white letters.

In rooms where poisonous medicinal substances are stored, windows are strengthened with iron lattices, and the doors are ridiculous with iron. With the permission of higher organizations, it is possible to store these substances in one room with other medicinal substances. Cabinets and safes must be locked on the keys that are from the head of the pharmacy (responsible for the pharmacy), or in the provisor-technologist.

Work with poisonous drugs (List a).

Poisonous substances of the pharmacist dismisses a provocative technologist. To get substances to work, you must fill in the relevant documentation.

On the back of the pharmacist indicates:

- the name of a poisonous medicinal substance,

- the amount of this substance.

A signatures of the released this substance (provinitor-technologist) and adopted it (pharmacist). Specifies the date.

Safes after the working day are sealed or seal.

Number of poisonous medicinal substances The assistant rooms should be so that the reserve of the 15-day need is not exceeded, the rest of the substances are stored in a material room equipped with light and sound alarm.

Registration of the dosage form with poisonous medicinal substances.

The dosage form is sealing, the patient is given a signature, an additional label "Care with caution". In the same way, the dosage form is made, containing potent substances codewin and codeine phosphate. Read more about the storage of potent substances (list b).

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Rules for storage, accounting and vacation drugs

Poisonous medicinal substances (list a) Store under the lock in the iron cabinet or in a metal box (safe), which should be the inscription Venena, or poisonous. Particularly poisonous drugs (atropine sulfate, inorganic arsenic compounds, morphine, etc.) are stored in internal, locked on the castle of departments of safes or cabinets. In the same cabinet (safe) keep everything you need for weighing, measuring and mixing these agents. On the inside of the door, the list of poisonous means contained in the safe indication of the highest one-time doses are attached. Poisonous substances are in its pure form are allowed to store only in pharmacies of district veterinary stations, in urban polyclinics, veterinary laboratories and institutes. In other veterinary institutions, it is allowed to have preparations of group A in ready-made dosage forms in limited quantities.

Potent substances (list b) Store also separately from other means. In boxes (cabinets), in which they are contained, Heroica must be inscription, or potent. The substances of the list b can be stored in all therapeutic institutions and pharmacies of collective farms and state farms. All other substances (VARIA) are stored without restrictions on the general rules.
On the flasks with medicinal substances (rods), their names are written on labels: with poisonous substances - white color in black background, with potent substances - red in white background and with all other - black on white background.

In rooms intended for storing poisonous substances, windows are strengthened with iron lattices, and the doors are rid of iron. With the permission of higher organizations, storing these funds in one room with other drug substances is allowed. The keys to the cabinets (safes) and doors of the rooms, where poisonous and potent substances are stored, should be at the head of the pharmacy (or responsible for the pharmacy). The room is locked, seal or seal.

Instead of recipes upon vacation of made medicines containing poisonous, narcotic and some potent substances, give signature with a yellow strip at the top and the inscription on it a signature made by black font, and upon vacation of finished drugs, if necessary, give a label. In the signature reproduce summary Recipe, i.e. indicate the name of the pharmacy, the recipe number on the book, the view and age of the animal, the composition of the medication, the method of application, the names of those who made the form. On labels are inscription

set the recipe number, view of the animal and the method of use of medication. There are also warning labels with inscriptions:

• Before applying to mix and so on.

Means for internal application We are supplied with white labels for outdoor - yellow or red, for parenteral - blue.

The recipe received in the pharmacy is tested for dosage, compatibility of medicines, tax, if the means is paid, numbered, put the next arrival number.
The arrival and consumption of therapeutic and preventive tools, with the exception of poisonous and some narcotic substances, take into account the subjects in quantitative terms in books on the approved form. Poisonous medicinal substances are subject to objective and quantitative accounting in special journals.

Therapeutic and preventive facilities Veterinary institutions acquire and spend free (under the state budget) in cases of assistance in the ambulatory (hospital), the provision of medical assistance in urgent cases outside the veterinary institution, with preventive processes, diagnostic studies and forced disinfects (disinsection), with infectious Diseases. For payment (at the expense of the farm, organization and citizens), medicines and dressing materials for the treatment of animals in the conditions of farms, the means spent during castration of animals and cosmetic operations, disinfectants (disinsection and deratization) means for conducting planned activities in farms, acceleration means Growth and fattening of animals.

Poisonous medicinal substances (list a) are stored under the lock in iron cabinets, or in metal boxes (safe), on which the inscription must be present. Venena."(Poisonous).

And especially poisonous medicinal substances (morphine, atropine sulfate, etc.) is stored in the internal, locked in the castle of the departments of safes and cabinets.

Typically, these substances in recipes are discharged into miles or centigram. On the inside of the door of the safe or the cabinet should be a list of contained inside poisonous medicinal substances indicating the highest one. Poisonous medicinal substances are subject to objective and quantitative accounting in special journals.

In the same cabinet (safe) there are all necessary for weighing, measuring and mixing these substances (scales, multiple, funnels, cylinders, measuring fingers, etc.). Registration of rods: black background, white letters.

In rooms where poisonous medicinal substances are stored, windows are strengthened with iron lattices, and the doors are ridiculous with iron. With the permission of higher organizations, it is possible to store these substances in one room with other medicinal substances. Cabinets and safes must be locked on the keys that are from the head of the pharmacy (responsible for the pharmacy), or in the provisor-technologist.

Work with poisonous drugs (List a).

Poisonous substances of the pharmacist dismisses a provocative technologist. To get substances to work, you must fill in the relevant documentation.

N-acetylandanic acid
Aconite
Aconitine
Aceclay (3-rinucleidinyl acetate)
Brucin
Hyoscyamine base
Hyoscyiamine Kamforat (L-Tropyltropath (camphorats))
Hyoscyiamine sulfate (L-Tropyltropath (sulfate))
Bee poison purified
Ricin
Metal mercury
Tallium and its salt
Tetracarbonyl nickel
Tetraethylswin and its mixtures with other substances (ethyl fluid and other), except for eaten gasoline
Phosphide zinc
Phosphorus white (phosphorus yellow)
Cyanplas.
Cyclone
Cinhonin

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In this way, storage and work with poisonous substances occurs, I hope you have deposited information written in this article. Then we will touch on the potent medicinal substances of the list B, do not miss! Do not forget to evaluate articles and comment, thanks for your attention!